MEDICARE: TONIA HAMMOND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility	6906953	FL

General Provider Information

NPI Number	:	1437636024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONIA HAMMOND

Provider Business Mailing Address
First Line	:	3819 BEECHWOOD BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-1224
Country	:	US
Telephone Number	:	813-622-8606
Fax Number	:	813-622-8606

Provider Business Practice Location Address
First Line	:	3819 BEECHWOOD BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-1224
Country	:	US
Telephone Number	:	813-622-8606
Fax Number	:	813-622-8606

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2018
Last Update Date	:	07/26/2018

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Directions to “ TONIA HAMMOND ” Practice Location

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